Jennifer L Kudelko (NPI# 1922097955, PAC ID# 4688607609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922097955 |
| PAC ID by PECOS | 4688607609 |
| Professional Enrollment ID | I20050912000327 |
| Full Name | Jennifer L Kudelko |
| Organization Legal Name | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A |
| Address |
13644 Walsingham Rd Largo FL 33774-3594 |
| Phone Number | 7275952519 |
| Gender | F |
| Credential | DO |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4981679677 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100248 | LARGO MEDICAL CENTER |
| 100127 | MORTON PLANT HOSPITAL |
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| Address | Phone | Organization |
|---|---|---|
| 13644 Walsingham Rd, Largo, FL 33774-3594 | 7275952519 | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A |
| Organization Legal Name | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randal G Worth | Internal Medicine | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Rubaiya Y Mallay | Rheumatology | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Brenton D Mccoy | Internal Medicine | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Robert L Digiovanni | Rheumatology | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Street Address |
13644 WALSINGHAM RD |
| City | LARGO |
| State | FL |
| Zip | 33774-3594 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randal G Worth | Internal Medicine | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Rubaiya Y Mallay | Rheumatology | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Brenton D Mccoy | Internal Medicine | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Robert L Digiovanni | Rheumatology | Suncoast Internal Medicine Consultants, P.a | 13644 Walsingham Rd, Largo, FL 33774-3594 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Napier | Osteopathic Manipulative Medicine | 1603 Indian Rocks S Rd, Largo, FL 33774-1026 | |
| Vicki G Pappageorge | Family Practice | 1603 Indian Rocks S Rd, Largo, FL 33774-1026 | |
| Eric C Rost | Radiation Oncology | 1835 Indian Rocks Rd S, Largo, FL 33774-1030 | |
| John Hill West | Radiation Oncology | Tampa Bay Oncology Center, Inc | 1835 Indian Rocks Rd S, Largo, FL 33774-1030 |
| Priyadarshini G Rao | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Maryana Henson | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Brent J Lataille | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Connie M Horne | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Sunit Srivastava | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Danielle Caraballo | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Find all physicians in zip 33774 | |||
| City | LARGO |
| Zip Code | 33774 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LARGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jennifer L Kudelko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.